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To what degree are people willing to make their health public?

  • Historically, health has been and still is a private matter. Only a few family members or others are aware of your issues. However, I know people tweet/status update about their fitness or diets . There are also social networks for specific diseases. Additionally, there are studies to support that making health issues more known and communal help individuals adhere to care regiments. Do people want to get applauded for their health or seek support of the community to improve and manage health? Is this a trend or something we see more of? What are the issues? Is it better to make health more public?

  • Answer:

    The real issue is being able to control access to parts of the record. I like the "Break the Glass" idea for emergency rooms that gives access to the part of the EHR that the person has decided is important. This might just be an Allergy List or include Medications, Problems etc. Most of the record would be private in the usual manner and some information would be secret and require a further PIN or some such. Until these sort of controls are in place it is difficult to see trust developing.

Sam Heard at Quora Visit the source

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Having the proper support and care during either a health care crisis or to support lifestyle changes to affect better health is critical to a successful outcome. Unfortunately, when health insurance companies can deny care for people with preexisting conditions and much of the our health care system is not designed to build the trust and incentives necessary for people to be willing to make their health care information more public, it simple won't happen. Incentives for patients to make their information public will help, and probably be necessary but ultimately the culture of mistrust has to change. Everyone including insurance companies would gain by building the public trust and creating a safe and efficient environment for sharing health care data. I look forward to that day.

Murat Cannoyan

The three primary issues or disincentives I see are: Embarrassment: Patients might fear social ridicule for diseases like cervical cancer, herpes or AIDS. Penalization by insurance companies: Unless there is no way of avoiding it being priced in, patients might fear higher insurance rates if it's known that they are at risk for eating disorders, cancer, etc. I don't see this changing unless there is some sort of guaranteed affordable health care for people in the U.S. If it's a terminal illness, people might want privacy to deal with issues around mortality. Other than that, if it's not embarrassing or something that there is absolutely no way to prevent insurance companies from pricing in, maybe people would find comfort or encouragement by being known to a community. Conditions where a daily regimen is needed might be most conducive for this like diabetes.

Anonymous

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